Are there any restrictions or limitations on the substitution of generic drugs for brand name drugs?

Yes, there are certain restrictions and limitations on the substitution of generic drugs for brand name drugs in Maryland. According to the Maryland Board of Pharmacy, the substitution of a generic drug for a brand name drug is permissible if the drugs have the same active ingredients, strength, dosage form, route of administration, and, when indicated, the same therapeutic indication. The pharmacist is to ensure that the name of the generic or brand name drug dispensed is not misleading or deceptive. In addition, the Substitution of a Generic Drug for a Brand Name Drug Act of 2005 requires pharmacists to reveal to the customer the name of the brand name drug and the generic equivalent before the prescription is filled. The patient may then decide if he/she wishes to accept the generic or brand name drug. For those who cannot make an informed decision about the drug, the pharmacist must provide the patient with a list of the brand name and generic equivalent, the active ingredients, and the reasons for the substitution. Finally, a pharmacist is not required to substitute a generic drug for a brand name drug if the drug is a new drug or a drug that has been reformulated, or if the drug is no longer available as the brand name drug. In such cases, the pharmacist shall inform the patient of the availability of a generic drug and the cost savings that would result from the substitution.

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Are there any restrictions or limitations on the substitution of generic drugs for brand name drugs?

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